Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 13423 | TX |
N | 111NP0017X | Pediatric Chiropractor | 13423 | TX |
NPI | 1578001574 |
---|---|
Provider Name | Dr. Rachel Westbrook |
First Address | San Antonio, TX 78232-5053 |
Second Address | Kyle, TX 78640-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2017 |
Last Update Date | 26/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13423 | TEXAS BOARD OF CHIROPRACTIC (01) | TX |